Simply download the required forms below and FAX them to us at 813-662-2814. IT’S THAT EASY!
|Download forms here (PDF)|
|» Confidential Hormone||» Pharmacy RX Solutions CC Authorization|
|» Patient Confidentiality Statement||» Patient Authorization Agreement|
Please feel free to call us if you have any further questions at 1-866-662-0693 or email us at
* Prices are subject to change without notification based on supplier shortages and manufacturer price increases.